Organization Active NPI

Joseph J Solan P.C.

  • Clinic/Center
  • Effingham, IL
National Provider Identifier
1588933568
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038008912 Issued in IL
Legal business name
JOSEPH J SOLAN P.C.
Practice address
212 N 4TH St
Effingham, IL 62401-3460
Phone
(217) 347-5812
Fax
(217) 347-5818
NPI assigned
Dec 21, 2011
Organization subpart
Yes
Parent organization
JOSEPH SOLAN P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph John Solan, D.C.NPI 1720091150
Title
President
Phone
(217) 347-5812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038008912 IL Primary

Addresses

Primary practice location

212 N 4TH St
Effingham, IL 62401-3460

Mailing address

212 N 4TH St
Effingham, IL 62401-3460
Phone (217) 347-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000545 IL Part B Supplier - Clinic/Group Practice 1557537966 Receives reassigned benefits from 1 practitioner
Practice locations: Vandalia, IL

National Provider Directory

National Provider Directory
Part of
Joseph J Solan PC

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1588933568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013460",
            "telephone_number": "217-347-5812",
            "fax_number": "217-347-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013460",
            "telephone_number": "217-347-5812",
            "fax_number": "217-347-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J SOLAN P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH SOLAN P.C.",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SOLAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-347-5812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038008912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.